Provider Demographics
NPI:1740665348
Name:HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY
Entity type:Organization
Organization Name:HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROCESS CONSULTANT II
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUAJARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-653-7754
Mailing Address - Street 1:300 E RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5014
Mailing Address - Country:US
Mailing Address - Phone:312-653-7754
Mailing Address - Fax:
Practice Address - Street 1:300 E RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5014
Practice Address - Country:US
Practice Address - Phone:312-653-7754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare